11D2281736 CLIA NUMBER - NORTHEAST GEORGIA PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 11D2281736
  • Facility Name: NORTHEAST GEORGIA PHYSICIANS GROUP
  • Facility Address: 1075 JESSE JEWELL PARKWAY SE, SUITE A&B
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 219-5407
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE ARMSTRONG
  • NPI Number: 1770505877
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2281736
LAB Type Physician Office
Facility Name NORTHEAST GEORGIA PHYSICIANS GROUP
Street 1075 JESSE JEWELL PARKWAY SE, SUITE A&B
City GAINESVILLE
State GA
ZIP 30501
Phone 770 219-5407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Physician Office
Lab Director KYLE ARMSTRONG

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This page was last updated on: 9/29/2025